Provider Demographics
NPI:1033133772
Name:YOUNG, CAROLE M (MD)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:M
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1200 HIGHMARKET ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-3227
Mailing Address - Country:US
Mailing Address - Phone:843-546-8421
Mailing Address - Fax:843-546-1173
Practice Address - Street 1:1200 HIGHMARKET ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-3227
Practice Address - Country:US
Practice Address - Phone:843-546-8421
Practice Address - Fax:843-546-1173
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
SC13238207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC132387Medicaid
SC132387Medicaid